Reimbursement Intelligence Digest — Week of August 3, 2026
### Actions Required This Week **Ophthalmology**: - Review and update practice policies to adhere to the newly issued Local Coverage Determination
Weekly Digest for Coding Teams
Actions Required This Week
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Quick answers
What is required to comply with the LCD L39905 for cataract surgery?
Review cataract surgery coding practices to conform to WPS guidelines. Update all relevant procedures to reflect changes specified in LCD L39905, including revising CPT coding as necessary.
When do the updates to the Inpatient Rehabilitation Facility PPS take effect?
The updates to the Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2027 are effective on October 1, 2027, as per FR-2026-15652.
What changes must be made for SNF PPS compliance in 2027?
Ensure that coding and billing operations for Skilled Nursing Facilities align with finalized updates effective October 1, 2027. Implement changes to quality reporting and payment structures as detailed in FR-2026-15562.
How should coding teams prepare for the April 2027 changes to the Master List?
By the effective date of April 1, 2027, coders must update face-to-face encounter documentation and align procedures with new prior authorization requirements as outlined in FR-2026-15446.
Content summarized from publicly available federal publications including CMS, MAC contractors, and the Federal Register. CLV Intelligence is not affiliated with or endorsed by any government agency. This is not legal or medical advice.